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245 South Main Street, Pennington, NJ 08534 6097301414 www.Bracez4You.com FAX: 6097301456 NJ Specialty Permit #3919 Diplomat, American Board of OrthodonticsChild Patient Information Child's Name:___
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Gather necessary information such as the child's personal details, medical history, family medical history, and current health status.
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Who needs health hx - child?

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Health hx - child refers to the health history of a child, including medical conditions, allergies, medications, and any other relevant health information.
Parents or legal guardians of the child are required to file health hx - child forms.
Health hx - child forms can be filled out by providing accurate and detailed information about the child's health history, including any known medical conditions, allergies, and medications.
The purpose of health hx - child is to inform healthcare providers about the child's medical history, which can help guide future medical care and treatment.
Information such as medical conditions, allergies, medications, surgeries, and family medical history must be reported on health hx - child forms.
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